Collaborative Intravenous Nursing Service (CINS) Guidelines

37Peripherally Inserted Central Catheter – Blood Sampling (PL3)ActionEquipment RequiredDressing Pack containing sterile towel and glovesGauze swabs x 310ml syringes x 2Chlorhexidine Gluconate 2% in 70% Isopropyl alcohol or Chlorhexidine Gluconate2% in 70% Isopropyl alcohol impregnated wipe10ml 0.9% Sodium Chloride for injectionOne green needle/filter straw. Sharps containerSurgical tapeAlcohol hand rubNeedle free I/V access connector change as per manufacturer’s guidelines seeNSF1 CINs guideline5ML HEPARINISED SALINE 10 UNITS/MLWITH OPEN ENDED CATHETER Before the procedure begins make sure that your hands are washed and driedthoroughly and that they continue to be decontaminated during the procedure. A plasticapron should be worn.• Maintain aseptic technique at all times.• Explain the procedure to the patient. Ensure that valid consent is gained.• Inspect the catheter exit site for signs of skin discolouration or signs of infection e.g.exudates from exit site. If you suspect infection please contact the hospital team whoplaced the catheter for advice. Refer to trouble-shooting guide.• Ensure working area is as clean as possible.• Ensure all equipment is gathered before commencing the procedure and packaging isintact and in date.• Open sterile pack allowing inner pack to fall onto clean working area.• Open out sterile pack to create a sterile field. Open remaining equipment ensuring nocontamination of sterile field.• Place 0.9% sodium chloride (saline) and if needed Heparinised Saline ampoule(s) nearMaintain asepsis.RationaleReduce risk of infection. To avoidcontamination and to reduce risk ofinfectionReduce anxiety and improve patientcomplianceThe CINs group hereby assert their moral rights tothe works herein in accordance with the Data Protection Act 1988.Policy review date 01/10/10